TANYA JEAN WALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125587

License Status

NOT RENEWED

Business

First Name

TANYA

Middle

JEAN

Last Name

WALL

Business Name

TANYA JEAN WALL

Original Issue Date

04/22/1999

Effective Date

04/22/1999

Expiration Date

03/31/2000

City

MANSFIELD

State

Zip

61854

County

PIATT

Ever Disciplined

LastModifiedDate

08/03/2018